Individual provider · Type 1 NPI

Elizabeth Bourquin, LCSW

Clinical Social Worker · Farmington, CT

NPI number 1629555479 Active

Practice location

406 Farmington Ave Ste 1
Farmington, CT 06032-1964

Fax (860) 724-4397

Mailing address

1290 Silas Deane Hwy, Hartford Healthcare-Cvo
Wethersfield, CT 06109-4337

Other practice locations

  • 100 Simsbury Rd Ste 203, Avon, CT 06001-3793 · (860) 696-4460

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X9130 (CT)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629555479

Elizabeth Bourquin, LCSW's National Provider Identifier is 1629555479, issued on Jul 24, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Farmington, CT. The record was last updated on Jul 27, 2022.